Chinese medicine believes that mung bean has the effect of clearing away heat and relieving heat, and it is an essential drink for many families to prevent and reduce heat. So, is mung bean soup reliable for relieving heat, and can friends with kidney disease eat it at ease? 01 Is it reliable for mung beans to cool off the heat? Traditional Chinese medicine believes that mung beans are “sweet in taste and cool in nature, and have the effect of clearing away heat and detoxification.” Drinking mung bean soup in summer has many benefits. Certain components in mung bean have antibacterial and antibacterial effects, and have the effects of lowering blood lipids and cholesterol. Experiments have also proved that taking mung beans can improve the antioxidant capacity of rats in high temperature environments and reduce health damage. Therefore, drinking mung bean soup does have some heat-relief and health-care effects for healthy people. 02Is the kidney bad, can I drink mung bean soup? Although mung bean and mung bean soup can relieve heat and reduce heat, they are not suitable for everyone with kidney disease. The following three types of people need to be cautious: 01 blood/peritoneal dialysis and edema people with mung bean decoction to relieve heat, most of which are still hydrating. For nephrologists with edema, oliguria, anuria, hemodialysis and peritoneal dialysis, water restriction is very important and it is not suitable for drinking mung bean soup. If you are thirsty in summer, you can choose to have ice in your mouth or drink a small amount of ice water. 02 Kidney-Friend Mung Bean with High Blood Potassium is a typical high-potassium food, with potassium content as high as 787mg per 100g of mung bean! And potassium is a water-soluble substance. Simply put, the potassium in mung bean is very easy to dissolve in the soup. The longer the cooking time and the worse the cooking time, the higher the potassium content in mung bean soup! Therefore, we do not recommend kidney friends with high blood potassium to drink mung bean soup. In fact, cool white open is also a good choice. 03 Nephrologists taking tacrolimus or cyclosporin “Chinese Pharmaceutical Journal” published a case report: kidney transplant patients taking cyclosporine, because of continuous consumption of mung bean products for 1-2 weeks, the blood concentration of the drug decreased, which seriously affected treatment effect. Analysis found that mung bean may interfere with the metabolism of cyclosporine and tacrolimus by enhancing the activity of the CYP3A4 enzyme in the liver or small intestinal epithelial cells, thereby reducing its blood concentration.  .03Healthy tonic, drink mung bean soup, pay attention to 01 Kidney Disease Try not to eat mung beans. Mung beans are miscellaneous grains, rich in a variety of minerals, vitamins and dietary fiber, and have high nutritional value for healthy people. Nephrologists use a low-protein diet and need to choose high-quality protein to reduce the burden on the kidneys. The protein content of mung beans is extremely high, 21.6 grams of protein per 100 grams, which is about three times that of rice (7.4g). Unfortunately, the protein in mung beans is non-high-quality protein, and kidney friends must be strictly restricted. Therefore, friends with kidney disease want to drink mung bean soup to reduce heat, try not to eat mung beans. 02 When blood sugar is high, sugar should not be added. When making mung bean soup, many families often add sugar, rock sugar or honey in order to have a better taste. Mung bean soup itself is refreshing. If there is more sugar, it will become a bit sticky, which will increase the energy of mung bean soup and reduce its heat-relieving effect. More importantly, the intake of refined sugar can cause abnormal blood sugar fluctuations. Therefore, try not to put sugar when drinking mung bean soup with high blood sugar. In addition, the longer the cooking time, the thicker the mung bean soup will become thicker and turbid, because the starch in the mung bean gradually dissolves, and the starch content in the soup gradually increases, which has a greater impact on blood sugar. Therefore, when making mung bean soup, Tangyou should avoid boiling for too long, and cook until the mung bean has just cracked and bloomed. Although mung bean soup relieves heat, it is not suitable for everyone. For people with blood/peritoneal dialysis and edema, hyperkalemia or kidney patients who take drugs, try not to drink mung bean soup; if you don’t have the above problems, you can drink it appropriately. But it is best not to eat mung beans inside.
The old saying goes: one autumn rain and another cold. With the continuous rainy days, all parts of the country have entered autumn successively. At this time, it has entered a period of high incidence of colds. In the hospital, everyone’s most intuitive feeling is that the infusion rooms are often full in both community hospitals and general hospitals across the country. Every year, there are many cases of kidney damage caused by colds. For kidney friends, a cold often leads to aggravation of the disease, which is called a reminder for kidney friends. The root cause is that infection is the most common cause of acute exacerbation of chronic kidney disease, such as pneumonia, urinary tract infection, and even tonsil inflammation, periodontitis, gastroenteritis, and colds. Various infections can stimulate the body’s immune response and induce and aggravate kidney damage. What is the difference between the flu and the common cold? The common cold is mostly dominated by nasopharyngeal symptoms such as sore throat, cough, and nasal congestion, and it will get better in seven to ten days. Influenza is short for influenza, which is an acute respiratory infection caused by influenza virus. Accompanied by high fever, chills, dizziness, headache, muscle aches, etc., severe pneumonia, myocarditis, and sometimes even fatal. The main difference between influenza and the common cold is that it is highly infectious, has a more rapid onset, and is often accompanied by a high fever (39-40°C) that does not go away. Don’t use cold medicine indiscriminately for kidney disease. Whether it is a common cold or flu, kidney friends should not use cold medicine indiscriminately. Oseltamivir is the main drug treatment and prevention of seasonal influenza. Oseltamivir is a prescription antiviral drug, not a common cold medicine. Pay close attention to the adverse reactions during the medication. The most common symptoms are nausea, vomiting, and diarrhea. The common cold will relieve itself in a week or so. For patients with runny nose and severe cough symptoms, cold medicine can be taken to relieve it. It is best to take the medicine under the guidance of a doctor, and never take a large amount without permission. On the one hand, commonly used cold medicines are nephrotoxic. For example, acetaminophen (also called paracetamol), an effective ingredient for fighting colds, is nephrotoxic. According to research, excessive intake of acetaminophen can cause acute liver and kidney damage. In severe cases, acute renal failure may occur, and even death in a coma. On the other hand, the kidney and liver are the body’s “detoxification” organs, and most of the drugs are filtered by the kidneys. The glomeruli of nephrologists are damaged, the filtration rate decreases, and the metabolic capacity decreases, which will undoubtedly increase the burden on the kidneys. Do these three points well to stay away from colds! Physical exercise, strengthen immunity! Exercise is a gradual and long-term adherence process. People who don’t usually exercise, run three kilometers at once, but their immunity will decrease the next day. Jumping 200 frogs in a row is more likely to jump out of rhabdomyolysis and kidney failure. Whether you are a kidney friend or an ordinary person, you should do your best, exercise regularly, gradually increase the amount, and avoid exercise that exceeds your physical load. Immunity cannot be strengthened by exercising once or twice. Only by persisting can we gain strong immunity and resist the invasion of colds. Open windows for ventilation to avoid mutual infection! Mutual infection between family members and office colleagues is one of the main causes of colds. You should pay attention to opening windows to keep air circulating to avoid infection. Vaccination, simple and effective vaccination, can be regarded as a temporary way to succumb, but it is simple and effective, and I have to sigh the greatness of technology. The guidelines also recommend that all adult patients with CKD should receive influenza vaccine every year. Finally, as the weather turns cold, it is also very important to add clothes in time! I wish you and the people around you stay away from the troubles of colds and spend a healthy and happy autumn~
Nephrologists always hope that patients with kidney disease will get better soon, or control the disease to not develop or continue to develop. In order to achieve this goal, doctors will take a variety of measures during the diagnosis and treatment of patients. Some measures are easily accepted by most nephrologists and the patients are not entangled; while some measures are difficult to be accepted by the patients, even if the doctor says it many times, the patients will still be entangled. For example, if a patient with kidney disease has high blood pressure, the doctor recommends the addition of antihypertensive drugs, and the kidney friend will accept it without entanglement; if the patient with kidney disease has renal anemia, the doctor requires additional drugs to correct anemia, and the kidney friend will not be entangled; Chronic renal failure is due to increased blood creatinine, and doctors also use Chinese medicine or Chinese patent medicine containing rhubarb in the treatment, and the kidney friends will not be entangled; etc. But for the following five things, our nephropathy friends are most entangled or unwilling to accept them. If they are not done well, they will eventually affect the curative effect and the recovery of the kidney disease. 1. Nephrologists with high urine protein are entangled in whether or not to use hormones. Generally speaking, when patients with kidney disease have a significant increase in urine protein, doctors may recommend the patient to use glucocorticoids (hereinafter referred to as hormones)-based treatment options , Especially nephrotic syndrome with a large amount of proteinuria (24-hour urine protein quantitative greater than 3.5 g for adults), as well as IgA nephropathy with 24-hour urine protein quantitative greater than 1.0 grams, allergic purpura nephritis and lupus nephritis, namely Hormones have a wide range of indications. When making a specific treatment plan for kidney disease patients to use hormones, doctors have considered many factors and weighed the pros and cons to make a decision, including curative effects and possible side effects and adverse reactions. As long as it is determined by a regular hospital nephrologist that it is necessary to use hormones, the nephrologist does not have to worry about whether or not to use hormones, nor does it have to worry too much about its side effects and adverse reactions. An experienced nephrologist can completely control it. 2. Nephrologists with low blood pressure are entangled in whether or not to use sartan/pril drugs. Sartan or pril drugs are often used in patients with chronic kidney disease. Regardless of whether patients with kidney disease are associated with elevated blood levels, doctors All may choose to use such drugs. Generally speaking, patients with nephropathy who have hypertension use sartan/pril drugs, and the nephrologist is not entangled. This is because everyone knows that sartan/pril drugs are a kind of antihypertensive drugs. But what the nephrologist is entangled in is that for those kidney diseases that are not accompanied by hypertension, why are doctors using sartan/pril drugs? In this situation, the nephrologist does not have to worry about it. When the doctor decides to use this type of medicine, it is definitely not the wrong medicine, but it is necessary to use it. According to years of research and clinical observation, it has been found that some chronic kidney disease patients with low blood pressure have been taking sartan/pril drugs for a long time, and the effect is positive. Because sartan/pril drugs have protein-lowering and renal protective effects in addition to lowering blood pressure, they can even correct or continue the progression of chronic kidney disease, but they usually do not lower normal blood pressure. 3. Nephrologists with a plus sign of urine occult blood are entangled in whether they should take medicine or dosing. Many nephrologists often entangle the problem of urine occult blood. What is “urinary occult blood”? It means that there is “potential bleeding” in the urine, or there may be blood in the urine, that is, there may be red blood cells in the urine. Before deciding whether to take medicine or add medicine, the nephrologist must figure out whether it is pure urine occult blood. If it is pure urine occult blood, there is no obvious abnormality of red blood cells, no increase in urine protein, blood pressure and kidney function and other indicators are all normal, there is no need to take medicine or add medicine. Because urinary occult blood alone does not mean that the kidneys are “ill”, and urinary occult blood alone has almost no harm to the kidneys. Therefore, pure urinary occult blood does not need to use “excessive” treatment to forcibly eliminate it, and it is not suitable for active treatment. Compared with the possible side effects, the curative effect obtained is not worth the gain. Summarize in one sentence: Don’t worry, don’t worry about simple urine occult blood, kidney friends don’t need to take medicine or add medicine. 4. Nephrologists with high blood creatinine are entangled in whether or not to eat meat. Regardless of whether the blood creatinine is elevated, the nephrologist will require and repeatedly emphasize that nephrologists must eat meat, that is, supplement high-quality protein. But some friends with kidney disease are always entangled in whether or not to eat meat. Nephrologists only eat vegetarian food. The patient’s reason is simple: “Not eating meat has little effect on serum creatinine.” Is this really the case? When the blood creatinine of the nephrologist increases, protein intake should be appropriately restricted. The protein that needs to be restricted includes not only high-quality proteins such as meat, but also non-high-quality proteins such as plant proteins. In other words, it is not limited to animal protein such as meat. Patients with kidney disease are not for a long time
On the Dragon Boat Festival, we eat dumplings to commemorate patriots Qu Yuan, and today, delicious dumplings are already part of our culture and an indispensable dish on the dinner table, but can kidney friends eat them? How to eat better? Today I will explain this to you. The main material of dumplings is glutinous rice, with a small amount of sweet or salty filling. Whether it is sweet dumplings such as bean paste and jujube, or bacon dumplings, as long as you pay attention to the good amount and food pairing, our kidney friends can eat it. An ordinary rice dumpling is generally about 100-150g. Kidney friends can eat one a day. 100-150g of rice dumplings is almost equivalent to a staple food made of raw rice of about one to two and a half halves, even if kidney friends who need a low-protein diet eat it, there is no problem. If you eat rice dumplings in one meal, subtract the corresponding amount of staple food, and mix it with fresh vegetables, high-quality protein foods such as meat, egg and milk. When eating meat dumplings with relatively high oil and salt content, other dishes are cooked with less oil and less salt. Nephrologists with diabetes need to be aware that glutinous rice has a higher glycemic capacity than ordinary rice. For this part of kidney friends, it is recommended to choose multi-grain/babao zongzi, and eat vegetable and protein foods before eating zongzi to help stabilize postprandial blood sugar. Large dumplings can easily lead to excessive sugar, saturated fat, and salt, so they should be avoided! Kidney friends with strong hands-on ability, making dumplings by themselves, can not only put their favorite ingredients, but also control the amount of oil, salt and sugar, of course, the best choice!
The first category: the calories contained in durian for weight loss people are very high, there are 150 kilocalories per hundred grams, 1 durian is equivalent to 1 bowl of rice, kidney friends in the weight loss period, it is best to choose other fruits what. The second category: Diabetes & nbsp. & Nbsp. & Nbsp. The sugar content of ordinary fruits is mostly around 8-15g per hundred grams, guess what is durian? 27 grams ……. Therefore, durian has a high glycemic capacity, which is not conducive to the blood sugar control of diabetic patients. It is recommended to avoid it. In addition, the potassium content per 100 grams of durian is 261mg, which is a high-potassium fruit. Our kidney failure, kidney friends who have a tendency to hyperkalemia, need to limit potassium intake in the diet, durian should not be eaten, about one or two . Durian is high in calories, high in sugar, and high in non-premium protein. Other kidney friends, it is best not to exceed 150g each time they eat durian, which is a larger piece of flesh. Although it is a fruit, it is recommended that everyone treat it as a dessert, eat less every time, and just get rid of it.
The bean sprouts grow out of the beans. During the germination process, the nutrients in the beans undergo a series of changes. Some active nutrients such as polyphenols and vitamin C are much higher than the beans themselves. In terms of ingredients, bean sprouts are not soy products, but proper vegetable foods. The gorgeous transformation makes the nutritional value of bean sprouts more abundant, but it also brings an adverse effect on kidney friends: whether it is soybean sprouts or mung bean sprouts, the protein contained is like non-premium protein like other vegetables. For kidney friends with normal kidney function and low risk of progression, the diet refers to the ordinary people ’s healthy diet, so you can eat soy bean sprouts and mung bean sprouts, 100-200g each time, as part of the vegetable intake. However, kidney friends with renal insufficiency can not be too arbitrary! Because kidney friends with renal insufficiency want a low-protein diet, mung bean sprouts are more suitable! Relatively speaking, the protein content of soybean sprouts is very high in vegetables, which can reach 4.5 grams per 100 grams, which is higher than the same amount of milk! The mung bean sprouts contain only 2.1 grams of protein per 100 grams, similar to ordinary leafy vegetables. The protein contained in bean sprouts is not a high-quality protein, and it is not advisable to consume too many kidney friends who need a high-quality low-protein diet. Because high-quality low-protein diet, not only to control the total amount of protein, but also to control the proportion of non-quality protein food (quality protein accounted for 60%, non-quality protein accounted for 40%), to ensure nutrition while delaying the deterioration of renal function. Therefore, mung bean sprouts with less protein are more suitable for those with renal insufficiency. Let’s take a look at the potassium and phosphorus content of bean sprouts that this part of kidney friends are more concerned about. It can be seen that their phosphorus content is not high, but the potassium content in soybean sprouts is more than twice that of green bean sprouts. Therefore, for kidney failure and uremia, those who need potassium restriction, it is still more suitable for green bean sprouts. If you eat soybean sprouts, it is best to control within 100g, boiled and eat.
I often tell my kidney friends: “Don’t just consider adding a few proteins to your urine routine.” why? Many of our kidney friends have urinary protein 2+, but the 24-hour urine protein or urine protein creatinine ratio is not high. Because the moisture in the conventional urine receptor is too large, especially the index of urine protein. Sometimes drink less water, or sweat more, urine is more concentrated, urinary protein plus 2+, but the total amount of urine protein throughout the day is not very high, the total amount may only be 0.2g, 0.3g, 0.4g , The control is very good, does not match the plus sign. This is to tell our kidney friends, don’t “only urine regular plus sign theory”, feel that 2+ is more serious than 1+! It is not necessarily true. Looking at the precise changes in urine protein, the best and most practical indicator is still 24-hour quantitative.
When it comes to eating fruits, I believe everyone will think of the benefits of eating fruits. For example, beauty and beauty, lowering blood fat and blood pressure and so on. In daily life, there are also many people who care about us often tell us & quot.Be sure to eat more fruits! & quot. However, there are actually restricted areas for eating fruits. If you eat them wrong, it will not only do no good, but may “quote” to the hospital. The variety of fruits is delicious and delicious. It is a food that everyone likes to eat. However, if you do not pay attention to the amount you eat and the type of fruit you eat, it may increase the burden on the kidneys. The long-term non-intermittent and high-load operation of the kidneys can easily lead to increased kidney disease. Why people with kidney disease cannot eat fruits at will Some people think that people with kidney disease are in poor health and are too guilty to eat things that are not cold; or they eat fruit in question, which makes the condition worse. None of these conjectures are the root of the problem. The root cause is that potassium in fruits can cause cardiac arrest and respiratory arrest in some kidney friends. You may be wondering, as such, potassium is a very dangerous bad thing, and patients with kidney disease should touch less? Don’t worry, then look down. Why is potassium so unfriendly to kidney friends? Potassium itself is not a bad thing. Potassium is essential for the normal operation of human cells, tissues and organs. It participates in and maintains the normal metabolism of cells, maintains the osmotic pressure of the intracellular fluid and the acid-base balance, and maintains the excitability of neuromuscular tissues. Especially the heart and muscle contract. This is why doctors always encourage patients with high blood pressure and cardiovascular diseases to eat more fresh fruits and eat more healthy foods with high potassium content. Although potassium has some good effects on some people. But the same is to eat more fruit, kidney failure, uremia, these kidney friends may be fatal. why? This is because the kidney’s ability to expel potassium varies widely. The kidney is a blood purification organ, and everyone knows it well. A person with no kidney function problems can “cleanse and filter” the whole body blood 3 to 4 times a day, and filter about 25 times a week. When kidney function is severely impaired, the ability to purify blood decreases. If the kidneys do not work by themselves, even if regular hemodialysis is performed weekly, the blood can only be “cleaned and filtered” about twice a week, and the gap between them is obvious. Therefore, the efficiency of potassium removal is completely different in different renal function states. If too much potassium cannot be removed by the kidneys, it will accumulate in the blood and cause cardiac arrest. The vast majority of cases of “fruit fatal” occur in renal insufficiency (CKD stages 4-5) and dialysis of these kidney friends with weak potassium excretion ability, and rarely occur in kidney friends with normal kidney function. Seeing this, you must understand why kidney friends with weak potassium excretion ability and high blood potassium are prone. The doctor will advise some fruit taboos, such as eating less bananas, oranges, mangoes, cantaloupes and melons (all high Potassium food), and kidney friends with normal kidney function do not have these requirements. What are high potassium foods? 1. The fruit with the highest potassium content is jujube. 100g jujube contains 375mg potassium. Secondly, banana 100g contains 330mg potassium, jackfruit 100g contains 330g potassium, and black currant 100g contains 322mg potassium. 2. Potassium per 100g of other fruits: banana 256mg, red fruit 299mg, apple 119mg, pear 92mg, sand fruit 123mg, peach 166mg, apricot 226mg, cherry 232mg, grape 104mg, pomegranate 231mg, persimmon 151mg, strawberry 131mg, orange 159mg, Citrus 154mg, pomelo 119mg, lemon 209mg, pineapple 113mg, pomegranate 235mg, longan 248mg, bayberry 149mg, cantaloupe 190mg, melon 139mg, watermelon 87mg. For kidney friends, the diet needs to be moderate, and these fruits must not be released. If you are not sure whether you can eat the fruit, you should consult the attending doctor and eat under the guidance of the doctor. If you have any related problems such as kidney disease, you can directly [Private Message] Professor Mo Feifan